Provider Demographics
NPI:1033123740
Name:BARR, JAMES D (CPO, LPO)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:D
Last Name:BARR
Suffix:
Gender:M
Credentials:CPO, LPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7390 17TH WAY N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33702-4916
Mailing Address - Country:US
Mailing Address - Phone:727-522-7088
Mailing Address - Fax:
Practice Address - Street 1:1000 LAKEVIEW RD
Practice Address - Street 2:SUITE 6
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756-3475
Practice Address - Country:US
Practice Address - Phone:727-447-2650
Practice Address - Fax:727-447-2353
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCPO 1212, LPO POR21744P3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL4808390001Medicare ID - Type Unspecified